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A bit about us:

Our client specializes in behavioral health.

Why join us?

As a contractor, we are unique in that we offer full benefits:
  • All 50 States: PPO for Medical coverage
**For California Residents: You have a choice of PPO or HMO plan for Medical coverage.
  • Ultimate Dental PPO
  • Preferred Vision
  • $25k Basic Life Insurance Policy
We also offer:
  • 401(k) – eligible to enroll on your first payroll
  • 40 hours of sick pay after 90 days of employment

Job Details

Job Details:

Are you an experienced Medical Collector seeking an exciting opportunity? We are currently seeking a top-notch individual for a REMOTE Medical Collector position. This role is a contract to hire position within the Healthcare industry. As a Medical Collector, you will be responsible for managing and resolving outstanding claims and denials, ensuring the accuracy of medical billing and coding, and maintaining revenue cycle management. You will be at the forefront of the company's financial operations, ensuring the smooth processing of insurance claims and acting as a vital link between patients, healthcare providers, and insurance companies.

Responsibilities:

  • Manage and resolve outstanding claims and denials from Medicaid, Medicare, and commercial insurance providers.
  • Maintain a comprehensive understanding of the entire revenue cycle management process, from patient registration and scheduling to final payment or adjustment.
  • Utilize Excel and other data management software to track, analyze, and report on collection efforts and success rates.
  • Review and interpret EOBs, remittances, and denial notices from insurance companies.
  • Conduct thorough and detailed follow-up on outstanding insurance claims, ensuring timely and accurate resolution.
  • Coordinate with healthcare providers, patients, and insurance companies to clarify discrepancies, answer questions, and facilitate payment.
  • Maintain up-to-date knowledge of billing and coding standards, insurance policies, and claim procedures.
  • Implement denial management strategies to reduce the number of rejected claims and increase revenue.
  • Process third-party insurance claims, ensuring all necessary documentation and information is provided.
  • Adhere to all federal and state laws regarding medical collections and insurance claims processing.

Qualifications:

  • Minimum of 5+ years of experience in medical collections, specifically with Medicaid, Medicare, and commercial insurance.
  • Proven experience with AR collections, medical billing and coding, and denial management.
  • Extensive knowledge of revenue cycle management processes.
  • Proficiency in Excel and other data management software.
  • Solid understanding of insurance claims processing and third-party insurance procedures.
  • Familiarity with behavioral health claims and collections is a plus.
  • Strong analytical skills and attention to detail.
  • Excellent communication skills, both written and verbal.
  • Ability to work independently and prioritize tasks in a fast-paced, remote environment.
  • Certification in medical billing and coding is highly desirable.
Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance.
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